Breast Augmentation: Q&A

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Am I Being Realistic with the Breast Augmentation Results I Want?

My PS wants me to bring in pictures of what I want so he can be sure that he understands what results I'm wanting. We've discussed this at my consultation; however I did not bring any pictures with me. My surgery is on the 5/26/11. At my pre-op visit we will go into the specifics of the results I'm looking for. The first two pictures are of my before pictures and the third is what I want. The measurement from my collar bone to my nipple is 21 cm on both breasts. Am I being realistic? Thank you!

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16 Doctor Answers | Asked by DaleAnn82 in Dequincy, LA

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You won't get that result from just an implant

If you look carefully at your breast compared to the desired result, the main difference is that yours is more bottom heavy with extra loose skin. An implant alone won't give you exactly that result. You might need a lift to tighten the lower pole skin.

Breast Augmentation

You'll do great! Your breasts have deflated after children. You are not sagging and do not need a lift. Your extra skin will accommodate large implants, although you do not need to go large. Mid range or high profile implants will produce a similar result to the third picture showing your desired outcome.

For a similar result to the breast augmentation look you want (example photo you posted = one of my patients), a lift is needed

I agree with my colleagues that it is difficult to compare apples to oranges since every breast has its own unique characteristics, but since the photo you chose as an example of your ideal postoperative outcome is mine, I'm going to post my full thoughts on your situation to my blog so that my patients can learn from your question as well. (here's a link to the full before & after photos from that case: gallery.delucaplasticsurgery... more

Breast lift will reduce sagging

Thank you for providing the pictures, very helpful. It appears you have sagging of the breast tissue; in my practice I would recommend to a patient with this situation that she have a lift as well. Otherwise, the breast tissue is going to be hanging off the edge of the implant. I think the size you like is OK but you might not get that same result (without lift) because you have sagging and that patient probably did not. Discuss this with your plastic surgeon to make... more

Breast Implant Results

It is hard to give you specific advice without examining you in person. However, based on the pictures that you posted, I would suspect that you will need a lift component and slight areolar reduction to achieve close to the results you see in the computer simulation / picture. Also, you need to keep in mind that every body is different and computers are amazing that morphing pictures. However, the results of your surgery will be dependent on your anatomy... more

Realistic Expectations

It would be helpful to you to see the before photo of your after photo if at all available. It's very difficult to expect to look like someone else given wishful thinking. You have lost a lot of natural breast tissue and I am not too sure that an implant by itself will be sufficent to give you the outcome that you are expecting given the photo provided.

Realistic Breast Augmentation Results

It is always difficult to exactly match someone else's result with an augmentation and photos should serve as a general blueprint only. I think that it will be very difficult for you to obtain the result of the patient in the post-op photo which you provided without some sort of mastopexy or breast lift.

Breast augmentation results

Everyones breasts look a bit different and implants will look different as well. Just from your photo in the lateral view, you may need a small lift as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Realistic results from breast augmentation

Photos are very important in planning breast augmentation, and nothing can be more valuable to a surgeon who wants to 'get it right' than photos of how you wish to look after augmentation. The photo you selected shows how full the look you want, upper fill, cleavage, and some surgeons have already advised a lift may be needed for the result you hope for. The photo is very important, looks nice, though not fully a realistic goal. You can with the help of the Internet and your surgeon... more

Am I Being Realistic with the Breast Augmentation Results I Want?

Thanks for the photos posted. You are not being realistic to achieve the exact results posted in your type of breasts. You need a lift and larger implants due to ALL the extra skin you have. Sorry but discuss your issues in detail to be sure you are going to be satisfied.

The problem with pictures

DaleAnn, The problem with pictures is that they are NEVER an apples to apples comparison. Each patient brings a unique set of characteristics, goals and needs to the operating table. For example, you do not show a before photo of the patient that you want to look like. It is highly likely that her breasts were not like yours preoperatively. It would follow that you should not expect the same result that she got if you have the same procedure that she had. ... more

Breast Augmentation and Lift

To achieve the results in the picture you will need a lift combined with augmentation. Given your current anatomy, you have a bit more breast skin than the person in your goal photo. Definitely have a detailed discussion with your surgeon and make sure you bring photos to your next meeting. Best of luck!

Breast Augmentation combined with lift

Based on your photos, it looks like you will require some sort of lift procedure as well as an augmentation. You should discuss your options with your doctor.

Which breast implant size is right for you

Based on your photos, you may possibly require a breast lift at the same time as your breast augmentation. Since your breast appear to have some loose skin, I'm not convinced the implant alone will give the round look you may be seeking. Discuss this again with your surgeon prior to your surgery date. I personally use 3D imaging in my practice which allows patients to visualize what they will look like with breast implants in place. Best wishes, Dr.Bruno more

Realistic breast augmentation

You can have a good result from augmentation alone. That is you can have the size you want with the nipple being in a good position on the breast and chest. However you cannot get a nubile breast result. Without a mastopexy you will have some skin on skin such that you could trap a pencil at the inframammary crease between the breast and lower chest wall. Some of my patients who are in their 30s or 40s would rather have augmentation alone knowing they will have a more "... more

Breast augmentation and breast lift

From your pictures it appears that you have some extra skin. This may require a lift as well. It will depend not only on the size of the implant but where the implant is placed.